SBI Health Insurance

Affordable Care, Trusted Coverage

Plan Your Family’s Health

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Overview of SBI Health Insurance

SBI Health Insurance, a division of SBI General Insurance company, provides extensive health coverage to senior citizens, individuals and families. Their offerings include personalized plans for critical illnesses and protection against COVID-19. Launched in 2009 as a joint venture between the State Bank of India and Insurance Australia Group, SBI Health Insurance has become a reliable option in the insurance market.

The SBI General Insurance company has a reputation for its efficient and transparent claims process, ensuring prompt settlement. In the financial year 2022-23, the company maintained an incurred claim ratio of 86% (as per Economic Times), reflecting its commitment to managing claims effectively.

SBI Health Insurance provides comprehensive health coverage through various insurance plans for individuals, senior citizens and families. Premium payments can be made and emergency claims can be made for the insured amount.

SBI General Insurance is proud to be a leader in the Indian general insurance industry, with a strong commitment to delivering exceptional customer service and innovative insurance solutions. Their dedication to excellence has been consistently recognized by prestigious institutions, further motivating them to continue their pursuit of excellence in the insurance sector.

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  • ET Edge Best Brands 2023
  • ASSOCHAM 15th Global Insurance Summit & Awards
  • ET Edge 10th Annual Insurance Summit & Awards
  • 4th Emerging Asia Insurance Awards 2023
  • 4th Annual BFSI Excellence Awards 2023
  • Rural Marketing Association of India
  • CRISIL / S&P Global
  • ACEF Asian Leaders Summit & Awards 2023
  • Insurance Asia Awards 2023 in Singapore
  • BFSI Tech Summit and Awards 2023
  • IBAI 18th Annual Summit Broker Choice Awards 2023
  • India Insurance Summit & Awards 2023
  • InsureNext Summit and Awards 2023
  • The CSR Journal Excellence Awards 2022
  • FICCI Insurance Awards 2022
  • Economic Times Insurance 9th Annual Summit & Awards
  • Most Preferred Workplaces in BFSI 2022-23
  • BW HealthcareWorld Excellence Awards
  • Great Indian BFSI Awards 2nd Edition 2022
  • 3rd Annual BFSI Technology Excellence Awards 2022
  • Indian Chamber of Commerce
  • The Customer FEST Awards 2022
  • InsureNext Awards 2022
  • Dream Company to Work For
  • India Insurance Summit & Awards 2022
  • ISO 27001:2013 Certification for SBI General’s Information Security Practices
  • SBI General Recognized with ET Best BFSI Brands Award 2018
  • Best E-Magazine Award
  • Bancassurance Leader (Medium & Small Category)
  • Great Place To Work Recognition
  • Best BFSI Brand Award
  • Awards for “Under-served Market Penetration” and “Commercial Lines Growth Leadership”
  • Marketing Initiative Award
  • Data Quality Award
  • Technology Maturity Award
  • Rising Star Insurer Award
  • Data Quality Asia Pacific Award

Choose the Best Health Insurance Plan

that provides all the necessary coverage benefits you need at affordable premiums.

Similar Insurance Company Plans

Coverage Benefits
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Eligibility Criteria
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Coverage Benefits
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Eligibility Criteria
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs

Health Insurance Premium Calculator

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Key Features of SBI General Insurance Company

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SBI Health Insurance Contact Details

You may contact SBI Health Insurance using the below-mentioned information if you have any queries about Care Health Insurance plans:

  • Inquiries Phone : 1800-102-1111
  • Reach Out Website: SBI Health Insurance
  • Support Download the Mobile App for easy policy management. 
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SBI Health Insurance Add-on Riders

What’s Covered and Not Covered in SBI Health Insurance

SBI Health Insurance Inclusions

  • Hospitalization expenses for at least 24 hours are covered, including pre and post-hospitalization as per the policy norms.
  • 141 daycare procedures and their associated medical expenses.
  • AYUSH treatment hospitalization expenses.
  • Fees for medical practitioners, surgeons, anaesthetists, consultants and specialists.
  • Medical expenses for surgery, including anaesthesia, blood oxygen, operation theatre costs, surgical appliances, medicines, consumables, diagnostics, X-ray, dialysis, chemotherapy, radiotherapy, pacemaker and implants.
  • The expenses associated with treating cataracts.
  • Ambulance expenses limit of 2,000 rupees per hospitalization.
  • Costs for dental and plastic surgery due to illness or injury.

SBI Health Insurance Exclusions

  • Coverage for disease diagnosed within the first 30 days of the policy purchase.
  • Rest, rehab and respite care.
  • Obesity and weight control are critical issues that need to be addressed, particularly in specific cases.
  • Gender transition surgeries.
  • Unnecessary plastic or cosmetic surgeries.
  • Sports injuries.
  • Breach of law.
  • Addiction/abuse of alcohol, drugs or substances.
  • Dietary and OTC supplements unless prescribed by a medical practitioner as part of hospitalization, claim or daycare procedure
  • Refractive error
  • Unproven/experimental treatments
  • Sterility and infertility
  • War and war-like situations
  • Treatment outside India
 

SBI Health Insurance Claim Process

1
Policyholders must promptly notify either SBI General or the Third-Party Administrator (TPA) in the event of an accident or illness requiring hospitalization or daycare, through a phone call or email.
2
To get a claim number or reference number, the policyholders can contact SBI General by calling their toll-free number 1800 102 1111, sending an SMS with the message “CLAIM” to 561612 or emailing their details to customer.care@sbigeneral.in.
3
Policyholders can also have the option to notify the company about the claim by providing the necessary information on the company’s official website.
4
Within the next day, a customer representative will contact the policyholder to provide information about the necessary documents and next actions.
5
The process of cashless claims at network hospitals involves the insurer directly coordinating with the hospital to settle the bills, relieving the policyholder from the burden of upfront payment and reimbursement procedures. This streamlined approach offers convenience and financial relief.
6
The policyholders must ensure all necessary documents are submitted, such as the claim form, photo identity card, discharge card/certificate/death summary, prescription copies for diagnostic tests, treatment advice, medical references, investigation reports, itemized hospital bills and receipts, as well as original pharmacy bills with prescriptions.
7
Once the necessary documents are in the insurer’s possession, the company will promptly begin the process of reviewing and addressing any applicable claims. They will finalize all relevant claims within 30 days after receiving the final survey report.

Documents Required to Buy SBI Health Insurance Plans

  • Proposal form copy for online OTP verification
  • Required age proof includes education certificates (10/12 mark sheet), voter’s ID, passport, PAN card and driving license
  • Address proof documents like aadhar, passport, driver’s license, electricity/telephone bill and voter ID card)
  • Medical Reports

Documents Required for SBI Health Insurance Claim Process

  • Completed claim form
  • Valid photo ID card
  • Original Discharge card/certificate/ death summary
  • Prescription copies for tests. Treatment advice and medical references
  • Original set of investigation reports
  • Hospital bills, medical receipts and pharmacy bills with prescriptions

Best Health Insurance Plans in India

The following are some of the best health insurance plans in India that you can buy from InvestKraft:

Insurance Provider Plan Name Coverage Type Sum Insured Range Age Limit (Adults) Important Parameters
Care Advantage Health Insurance Plan Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
ICICI Elevate Health Insurance Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
IFFCO Tokio Family Health Protector Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Niva Bupa Aspire Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
Arogya Supreme Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
TATA AIG Medicare Lite Policy Individual & Family Floater ₹2 Lakh - ₹6 Crore 18-65 years
  • Extensive network hospitals
  • Customizable coverage options
  • Wellness programs
Check Premium
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